| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,090.00 | $15,090.00 | $15,090.00 | |
Cigna
| Facility | $22,876.44 | $26,307.91 | $42,678.14 | |
Medica
| Facility | $8,840.04 | $8,933.28 | $20,716.75 | |
United
| Facility | $8,840.04 | $8,933.28 | $21,130.83 |